THE STATE OF NEW HAMPSHIRE JUDICIAL BRANCH http://www.courts.state.nh.us Court Name: Case Name: Case Number: (if known) CERTIFICATION OF TRUST 1. The Name of Trust was executed on Date and is currently in existence. 2. The name of the settlor is 3. The current acting trustee(s) is: Trustee Name Mailing Address Trustee Name Mailing Address Trustee Name Mailing Address 4. The Trustee (s) has all necessary powers under the trust to receive bequests from the estate being probated pursuant to the terms of the will. 5. The trust has not been revoked, modified, or amended in any manner that would cause the representations contained herein to be incorrect. Telephone Telephone Telephone Date Date Date Signature of Trustee Signature of Trustee Signature of Trustee NHJB-2634-P (02/14/2013) Page 1 of 1 American LegalNet, Inc. www.FormsWorkFlow.com